To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment #76-706-2 with Janet M. Goldman, M.D.
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract Amendment #76-706-2 with Janet M. Goldman, M.D., an individual, effective January 1, 2026, to amend Contract #76-706-1, to increase the number of allowable administrative duty work hours from 10 to a new maximum of 25 per month for maternal fetal medicine services for Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Center patients, with no change in the payment limit of $735,000 or term ending September 30, 2026.
FISCAL IMPACT:
Approval of this Contract Amendment will not impact the payment limit of $735,000 and is funded 100% by Hospital Enterprise Fund I revenues. (No rate increase)
BACKGROUND:
Due to a limited number of specialty providers available within the community, CCRMC and Contra Costa Health Centers rely on contractors to provide necessary specialty health services to their patients. This Contractor has been providing maternal fetal medicine services, including but not limited to clinic coverage, consultation, phone consultation for labor and delivery, procedures, training and administrative duties for CCRMC patients since October 1, 2020.
This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000; and Health and Safety Code § 1451. Health Services Personnel approved this Contract to ensure no conflicts with labor relations. CCRMC’s Quality Management, Utilization Management and Contract Monitor Staff meet on a regular basis to ensure monitoring and performance measures in the Contract are upheld. Per Administrative Bulletin 600.3, CCRMC Physician services are exempt from Solicitation requirements.
On October 3, 2023, the Board of Supervisors approved Contract #76-706-1 with Janet M. Goldman, M.D., in an amount not to exceed $735,000, for the provision of fetal medicine services for CCRMC and Contra Costa Health Center patients, for the period October 1, 2023 through September 30, 2026.
Approval of Contract Amendment #76-706-2 will allow the Contractor to provide additional maternal fetal medicine services through September 30, 2026.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract Amendment is not approved, certain specialized maternal fetal medicine services for CCRMC patients will not be provided or may cause a delay in receiving services.